Historical Background of Clinical Application of .ALPHA.2 Agonists in Anesthesia

  • HAYASHI Yukio
    Department of Anesthesiology, Osaka University Medical School

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  • 麻酔科医とα2アゴニスト  α2アゴニストの基礎―歴史的背景を含めて―
  • Historical Background of Clinical Application of α2 Agonists in Anesthesia

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Abstract

  It is well known that α2 agonists have various pharmacological effects, including sedation, analgesia, and sympatholysis. Since these effects are important in anesthetic management, applying α2 agonists to clinical anesthesia has been expected. Development of dexmedetomidine, a potent and selective α2 agonist, facilitated a clinical trial of the drug as an anesthetic adjunct in clinical anesthesia. Unfortunately, this clinical trial was interrupted. However, dexmedetomidine was introduced as a postoperative sedative drug, because it provides high-quality sedation. While we can expect that dexmedetomidine has a lot of potential in clinical anesthesia, we should be careful of side effects because of its various pharmacological actions.

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